Tennessee Department of Health · Posted July 31, 2026
Official source: tn.gov · Source last checked June 25, 2026
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Application Due
September 30, 2026
Q&A Deadline
August 13, 2026
The Rural Health Access Modernization Program (RAMP), RFA #34320-32927, is a competitive, multi-year grant program from the Tennessee Department of Health with a funding pool of $100 million (FY27–FY31) to support capital investments that modernize rural healthcare infrastructure and expand access to care statewide—particularly in pediatrics and obstetrics. RAMP offers: (1) Hospital Capital Investment Projects—one $40M, one $20M, two $10M, two $5M, and four up to $2.5M awards; larger awards ($10M+) require grantee match, with ARC-designated distressed or at-risk counties exempt from match for awards ≤$20M; (2) Primary Care Practice Projects—eight $500K and one $427.5K award intended for new or expanded practices. Equipment/IT costs charged to the award are capped at 20%; ineligible costs include leasehold improvements, recurring software/cloud subscriptions, provider/clinical compensation, and recruitment/quality incentives. Projects may be located outside of rural counties if they directly benefit rural populations, provided the need is demonstrated. Multi-site primary care operators may submit multiple site-specific applications. All projects must be completed by June 30, 2031. Evaluation criteria comprise explicit scoring of community need (Community Health Assessment preferred), detailed project plan with logic model, evaluation plan, sustainability, and budget narrative. Applications are submitted via the TDH Partner Portal by 2:00 p.m. CT on September 30, 2026.
Eligible applicants include governmental entities, nonprofits, for-profit organizations, community-based organizations, health systems, Federally Qualified Health Centers (FQHCs), and Tennessee state agencies serving rural populations in any Tennessee county. Projects can be physically located in non-rural counties if they serve rural healthcare access needs. Applicants for primary care projects may submit multiple applications for separate sites (one per site, each up to $500,000). Capital grant match: $40M award requires 1:1 match; $10M–$20M awards require 2:1 match; $5M and $2.5M awards require no match; ARC at-risk/distressed counties are exempt for awards $20M or less. Ineligible project costs: leasehold improvements, provider/clinical salaries/compensation, recurring software/cloud costs, provider recruitment, and quality incentives. All project activities must conclude by June 30, 2031.
Required attachments
Applications must be submitted via the TDH Partner Portal (https://c2cre237.caspio.com/dp/4cdb40007a41c9686ddc44948914) by 2:00 p.m. CT on September 30, 2026. Required materials include the Application (Attachment 1), Competitive Requirements, Project Timeline, Letter of Support, and Budget Form (Attachment 2). Applicants should consult the RFA and amendments at https://www.tn.gov/health/procurement.html
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Status, deadline, award, and content changes RCJ has recorded for this opportunity, newest first.
Closed
Open
September 30, 2026
Open
Upcoming
Upcoming
Open
Application Prep
Application #: RFA #34320-32927
Reference: RAMP
Program: Rural Health Access Modernization Program (RAMP)
Match: $40M award requires 1:1 grantee match | $10M–$20M awards require 2:1 grantee match (e.g., $10M award requires $5M match) | $5M and $2.5M awards require none | ARC-designated at-risk/distressed counties exempt from match for ≤$20M
Performance: December 15, 2026 – June 30, 2031
Key Dates:
Review Criteria:
Portal: https://c2cre237.caspio.com/dp/4cdb40007a41c9686ddc44948914
Budget Range
Contact
Competitive.Health@tn.gov
Contact
Jessica James
Role
Competitive Procurement Director
Organization
Tennessee Department of Health
Phone
(615) 532-7560
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